Spleen/kidney ratio in the assessment of mild splenomegaly
Journal Title: Medpulse International Journal of Radiology - Year 2017, Vol 4, Issue 1
Abstract
Background: Ultrasound may detect mild splenomegaly before it is clinically palpable. Knowledge of the normal range of spleen size in the population being examined is a prerequisite. Racial difference in splenic length could result in incorrect interpretation of splenic measurement. Methodology: Ultrasound was used to measure maximum spleen and left kidney length in 100 Indian children between age group of 1 to 15 years. To obtain the normal values for spleen length and to determine the spleen / left kidney ratio. Results: Splenic length in Indian children is similar to western children up to age about15 years. The spleen / left kidney ratio is strikingly constant with a mean value of 1.Using 2SD above the mean as a guide. The upper limit of normal for spleen / left kidney ratio is 1.25. Conclusion: Splenomegaly should be considered in children if the spleen / left kidney ratio is more than 1.25.
Authors and Affiliations
Prajwal Lakkol P S, Naveen Kumar
Keywords
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